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艾滋病病毒:加利福尼亚州2018年的刑事定罪改革以及有危险行为报告者的检测情况

HIV: California's 2018 criminalization reform and testing among those reporting risk behavior.

作者信息

Keralis Jessica M, Bourbeau Avery, Delaney Kevin P, Odunsi Shifawu, Valentine Sheila Salvant

机构信息

U.S. Centers for Disease Control and Prevention, Atlanta, GA, USA.

DLH Corporation, Atlanta, GA, USA.

出版信息

J Public Health Policy. 2024 Dec;45(4):673-686. doi: 10.1057/s41271-024-00517-x. Epub 2024 Sep 3.

Abstract

HIV criminalization laws may discourage HIV testing. We tested whether California's 2018 HIV criminalization law reform increased the likelihood of past-year HIV testing compared to Nevada, which did not reform its HIV criminalization law. We fitted two difference-in-differences logistic regression models: one for all respondents reporting behaviors that increase the chances of getting or transmitting HIV, and one for male respondents reporting these behaviors. All analyses accounted for the complex survey design of BRFSS. HIV criminalization reform was significantly associated with an increased likelihood of past-year HIV testing. After reform, the predicted marginal probability of past-year HIV testing increased by six percentage points. By comparison, probabilities of a past-year HIV test decreased in Nevada. HIV criminalization law reform may increase the likelihood of getting tested by individuals who engage in behaviors that increase the chances of getting or transmitting HIV.

摘要

将艾滋病毒感染者定罪的法律可能会阻碍艾滋病毒检测。我们进行了一项测试,以探究与未对将艾滋病毒感染者定罪的法律进行改革的内华达州相比,加利福尼亚州2018年对将艾滋病毒感染者定罪的法律进行的改革是否提高了过去一年进行艾滋病毒检测的可能性。我们拟合了两个双重差分逻辑回归模型:一个针对所有报告有增加感染或传播艾滋病毒几率行为的受访者,另一个针对报告这些行为的男性受访者。所有分析均考虑了行为风险因素监测系统(BRFSS)的复杂调查设计。将艾滋病毒感染者定罪的法律改革与过去一年进行艾滋病毒检测的可能性增加显著相关。改革后,过去一年进行艾滋病毒检测的预测边际概率提高了6个百分点。相比之下,内华达州过去一年进行艾滋病毒检测的概率下降了。将艾滋病毒感染者定罪的法律改革可能会增加从事有增加感染或传播艾滋病毒几率行为的个人接受检测的可能性。

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